Guardian’s Name *
E-mail Address *
Male Female Third
Type of Membership*
General Membership Life Membership
Date of Birth*
Service Business Others
Annual Membership Dues *
500 5000 10,000 & Above
Payment Reference Number*. Please make membership payment to the following Bank Account number and enter your Payment reference number.
Are you differently abled?*
If yes, Please mention*
Do you want to pledge your organs?*
Have you registered with any other NGO or Organisation?*
If yes, please specify?*
Upload Your Photo (Max Size 40kb) (File Type JPG)*
1. Dues are on a 12 months basis from the date of registration.
2. Non payment dues by a member shall be considered equivalent to resignation.
3. The powers and privileges of a member shall not be transferable.
4. Every member would be given a membership card from the foundation but it is non-transferable and can not be shown anywhere for any personal benefit or interest.
5. Misuse of the membership card is strictly prohibited and if found, membership may be terminated permanently and legal action may be initiated.
6. The members of the Foundation will be informed prior to any event and so the presence and support is kindly solicited.
7. The Board of Directors has got the final approval on the classification of membership and may approachany of the General Members to be a part of Honorary or Life Membership keeping in view on their support and contribution towards the Foundation.
8. As we act as an NGO and working for the society without any profit making intension, therefore no perks or salary will be given to any member.
HN#17, By Lane No. 3, 2nd Floor, Rajgarh Road, Near Icon Academy, Guwahati – 781003, AssamPhone: 0361-2460068Email id: firstname.lastname@example.org